person
Mark Allan Smith, MD
Family Medicine Physician in Vallejo, California
NPI 1588767602

Mark Allan Smith is a Family Medicine Physician based in Martinez, CA. Mark Allan Smith practices in Vallejo, CA and has the professional credentials of MD. The NPI Number for Mark Allan Smith is 1588767602 and holds a License No. A72221 (California).

The current practice location address for Mark Allan Smith is 243 Georgia Street, Vallejo, CA and can be reached out via phone at 707-556-8100 and via fax at 707-556-8107.

Location: 243 Georgia Street, Vallejo, CA, 94553-3156
person
Provider Profile Details
NPI Number
1588767602
Provider Name
Mark Allan Smith
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
243 Georgia Street, Vallejo, CA, 94553-3156
Phone Number
707-556-8100
Fax Number
707-556-8107
Provider Enumeration Date
09/06/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
ZZZ29799Z 01 CA FQHC MEDICARE PART B
55-1975 01 CA FQHC MEDICARE PART A
FHC71021F 05 CA
FHC70543G 05 CA
HAP70543G 01 CA FPACT
HAP71021F 01 CA FPACT
55-1915 01 CA FQHC MEDICARE PART A
ZZZ23222Z 01 CA FQHC MEDICARE PART B
institution
Provider Business Practice Location Address Details
Address
243 Georgia Street
City
State
Zip
94590
Phone Number
707-556-8100
Fax Number
707-556-8107
person
Provider Business Mailing Address Details
Address
243 Georgia Street
City
State
Zip
94590
Phone Number
707-556-8100
Fax Number
707-556-8107
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
License No.
A72221 (California)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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